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Senior Claims Consultant
2 weeks ago
- Salary: ASO6 / $98, $104,165.00 p.a.
- Full Time / Term Contract (Up to 6 Months)
- 5063 / EASTWOOD
About Us:
SA Ambulance Service (SAAS) is South Australia's provider of emergency ambulance transport, clinical care, and patient transport services.
We are committed to ensuring South Australia has access to the best possible emergency medical care, non-emergency transport, and rescue and retrieval services.
Our Vision: An innovative, patient focused, technology enabled, evidence driven, emergency response and health care ambulance service; achieved by exceptional people.
Our Mission: Providing emergency response and health care ambulance services within South Australia, designed and development around patient and community needs, enabling timely and equitable access for our patients to the most appropriate point of care.
Our Purpose: To ensure South Australia thrives by enabling access to emergency and non-emergency ambulance health care and alternative patient pathways while contributing to our state's emergency preparedness and health response capability.
Our Values:
PATIENT FOCUSED: We will put our patients and the safe and quality care we provide them first; in everything we do.
TEAMWORK: We will work across SAAS, our health system, our partners, stakeholders and the community to achieve our goals.
INTEGRITY AND HONESTY: We accept and uphold the standards and expectations of our organisation and communities.
RESPECT AND COURTESY: We will always be respectful and courteous toward our patients, each other, and all those we work with.
COMMUNITY COLLABORATION: We value our role in the community, and we value the communities we serve.
CHANGE READY: We know our communities' needs will evolve and we must adapt to meet them.
AUTHENTIC LEADERSHIP: We will support leadership development for our people at every level.
The Senior Claims Consultant is accountable to the Director Workforce through the Work Health Safety and Injury Management (WHSIM) Manager for contributing to an effective Injury Management (IM) system for SA Ambulance Service (SAAS), ensuring legislative compliance, and deliverable sustainability that will support best practice and continual improvement in accordance with the applicable legislation and regulations, SA Health Policy, and relevant public sector award entitlements.
What We Offer:
- Work in a collaborative, forward-thinking environment with a culture of inclusion and diversity.
- Giving back to the people of South Australia Play a vital role in enhancing the well-being of our community.
- We take care of you Access to a range of staff and wellness support programs
Key Responsibilities:
Complex Claims Management and Resolution
Provide highly effective claims management consultation services to injured employees and management within complex medical, legal, industrial, and public sector environments. Proactively resolve claims and compensation matters while determining barriers to effective management and developing strategic solutions through stakeholder consultation.
Legal Representation and Financial Determination
Represent South Australia Ambulance Service at the South Australian Employment Tribunal, negotiating appropriate resolutions for workers' compensation disputes within financial delegations. Determine and apply entitlements for Permanent Impairment Assessments and Additional Compensation claims.
Return to Work Programme Leadership
Lead preparation of comprehensive file reviews including claimant return-to-work goals and progression assessments. Collaborate with Return-to-Work Consultants to effectively manage work-injured employees in accordance with SA Health policies, ensuring optimal return-to-work outcomes.
Stakeholder Relationship Management
Lead discussions regarding workers' compensation activities and establish positive relationships with injured employees, treating practitioners, line managers, union representatives, human resource personnel, and senior management to facilitate effective claim resolution.
Policy Development and Expert Advisory Services
Contribute to the development, implementation, and maintenance of government and departmental injury management policies and procedures. Provide expert advice, consultation, and assistance to departmental personnel on injury management legislation, processes, and principles through formal and informal training.
Mentorship and Continuous Improvement
Provide coaching and mentorship relating to claim management functions to Injury Management and Administration personnel across SA Health and within South Australia Ambulance Service. Engage in external audits, internal reviews, and conduct regular analysis to support continuous improvement objectives at individual and team levels.
Application Information:
- Aboriginal and Torres Strait Islander applicants are encouraged to apply for this role.
- The South Australian public sector promotes diversity and flexible ways of working including part-time. Applicants are encouraged to discuss the flexible working arrangements for this role.
- Appointment will be subject to a satisfactory Criminal History Check and/or additional relevant history screening that may be applicable and appropriate Immunisation screening.
- SA Health Services are required to implement the Addressing vaccine preventable disease: Occupational assessment, screening and vaccination policy in the workplace.
Job ref: 913766
Enquiries to: Simone Ford, Manager Work Health & Safety and Injury Management -
Application Closing Date: 16 September 2025 @ 11:55pm
Attachments
ASO6 Claims Consultant - Role Description
Australian applicant guidelines
International applicant guidelines
